title: Evaluating Parental Disagreement in ADHD Diagnosis: Can We Rely on a Single Report From Home?
abstract: OBJECTIVE
  Few studies assessed factors associated with the agreement/disagreement between fathers and mothers when rating ADHD symptoms of their offspring.
  
  
  METHODS
  Teachers and both parents assessed a referred sample of 98 children and adolescents aged 6 to 16 years ( M age = 9.79, SD = 2.59) using the Swanson, Nolan, and Pelham (SNAP-IV) rating scale. The agreement was assessed for each of the items of the scale and correlated with variables measuring children's features, socioeconomic adversity, family functioning, and parental psychopathology.
  
  
  RESULTS
  Mean agreement between parents was moderate for the inattentive and good for the hyperactive-impulsive construct. Mothers tended to report more symptoms than fathers. The agreement was lower in those families where parents had discrepant educational levels.
  
  
  CONCLUSIONS
  Our findings suggest a significant cross-informant disagreement between parents on symptoms of ADHD. Discrepant parental education has a relevant role in explaining parental disagreement in reporting ADHD symptoms.
authors.affiliation: 1 Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Arthur
authors.initials: A
authors.lastname: Caye
authors.affiliation: 1 Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Julia D
authors.initials: JD
authors.lastname: Machado
authors.affiliation: 1 Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Luís A
authors.initials: LA
authors.lastname: Rohde
mesh_terms: D000293:Adolescent; D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D004522:Educational Status; D005178:Faculty / Q000523:psychology*; D005220:Fathers / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology; D015203:Reproducibility of Results; D012574:Schools; D063189:Symptom Assessment
keywords: ADHD; SNAP-IV; educational level; interrater agreement